Sample Record for 2018-05-15-23
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 212845 DEA: 023H1304
QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS-395-47.0/56.5
Work Description: AC OVERLAY, REPLACE AC SURFACE, RUMBLE STRIP, GUARDRAIL
Location Description: LASSEN COUNTY AT AND NEAR JANESVILLE FROM 1.9 MILES SOUTH OF LAKECREST DRIVE TO 0.2 MILE NORTH OF SUNNYSIDE ROAD
Contractor Name: HAT CREEK CONSTRUCTION & MATERIALS, INC.
Contractor Address: Unknown
Resident Engineer: JOHN YOLTON Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2018-05-15-23
TL Number from the TL Form: T101 C894811
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 05/15/2018
Date that the sample was received by the laboratory/organization performing the testing: 05/16/2018
The quantity of what the sample constitutes: JMF 4 bags
A brief description of the sample: JMF 3/4 cold feed and rap
From where was the sample collected: Manufacturer
Laboratory sample identification: D77394
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Ward Lake Hat Crk Construction
Material Information
Source Identification (SMARA, name of Pit or Job Site): unknown
The fabricator's/manufacturer's product name for the sample: Cold feed and rap
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: At the plant
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: Unknown
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Test 1 of 3
DIME Test ID: 2018-05-15-23-1
Test Method: AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: 530-225-3194
Data has not been verified.
Test 2 of 3
DIME Test ID: 2018-05-15-23-2
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: 530-225-3194
Data has not been verified.
Test 3 of 3
DIME Test ID: 2018-05-15-23-3
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: 530-225-3194
Data has not been verified.
